DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESUS L. LICUANAN, M.D. INC

Active Organization

JESUS L. LICUANAN, M.D. INC is a Specialist organization located in BUENA PARK, California. NPI 1497913057 is currently active in the NPPES registry. Verify at CMS.

Specialist · BUENA PARK, CA

Registration Details

NPI Number
1497913057
Provider Type
Organization
NPI Issued
May 29, 2008 (18.19028964368 yrs)
Last Updated
Mar 7, 2023
License
A42300 (CA)

Practice Information

Address
6131 ORANGETHORPE AVE
# 215
BUENA PARK, CA, 906201315
Browse CA providers · Browse ZIP 90620
Phone
7145211700
Fax
7145211003
Primary Specialty
Specialist
174400000X

Other Specialist Organizations in BUENA PARK, CA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.